Menu
Menu
account
Login
basket
Total:
Basket
Checkout
Close
Home
More
BOOKING FORM
Child's name :
*
Child's date of birth (DAY/MONTH/YEAR):
*
Child's age (at date of club):
*
Please choose one of the following…
4
5
6
7
8
9
10
11
12
13
child's gender:
BOY
GIRL
Any allergies or special dietary requirements?:
YES
NO
If YES, please tell us about it here (including any medications)::
Any medical or behavioural conditions, or special learning needs?:
YES
NO
If YES please tell us about it here (including any medications):
Doctor's Surgery:
*
Surgery telephone number:
*
Can your child swim at least one length of a standard pool unaided? (7+ clubs only will use the pool):
yes
no
I agree to my child being included in any photos/recordings/filming. I understand that no names will be used in any marketing material.:
YES
NO
I consent to my child receiving first aid treatment if required:
YES
NO
(for ages 4-6) I consent to staff applying sun cream, which I will provide, to my child:
parent/guardian name(s):
*
home address:
*
postcode:
*
daytime phone number:
*
Mobile Number:
*
email address:
*
BOOKING INFORMATION:
WHICH AGE GROUP ARE YOU BOOKING FOR?:
4-6 Year olds club
7-9 year olds club
10-13 year olds club
PAYMENT METHOD: I wish to pay using::
ONLINE using BACS: Please send me the bank account details
CASH IN PERSON (please see Margaret at The Bursary, Sherborne Prep School, 39 Acreman St, Sherborne DT9 3NY)
CHEQUE (payable to Sherborne Preparatory School)
CHILDCARE VOUCHERS (please specify below)
Childcare Voucher details::
I have read and agree to the terms and conditions:
YES
NAME:
*
DATE:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
January
February
March
April
May
June
July
August
September
October
November
December
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
DATES I WISH TO BOOK FOR::
SUBMIT NOW
PREFER TO COMPLETE A HARD COPY? No problem - click here to download a form then either email it to
[email protected]
or post/pop in to see Margaret at The Bursary, Sherborne Prep, 39 Acreman St, Sherborne, DT9 3NY
REGISTRATION FORM